Attachment_02_Quote_Submission_Form.pdf

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Diesel fuel and DEF at Fort Polk, LA
Solicitation number
W912HZ19Q9108
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Quote Submission Form

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A02.12-Description_Requirement_REVISED_22_Mar_19_Fort_Polk_EADR_Fuel.pdf PDF
Attachment_01-Description_Requirement_Fort_Polk_EADR_Fuel.pdf PDF

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QUOTE SUBMISSION FORM

Diesel Fuel at Range 15A Fort Polk, Louisiana

01 April 2019 through 31 May 2019

Item Price

100 cans of DEF to be delivered on 1 April 2019

Rental of one (1) 1,000 gallon diesel fuel tank from 1 April 2019 to 31 May 2019

Diesel fuel (price per gallon)

Delivery and Pick-Up of 1,000 gallon tank Delivery per order of fuel

Total Price

Engineer Research and Development Center ATTN: Janalyn Dement

3909 Halls Ferry Rd.

Vicksburg, Mississippi 39180-6199

EMAIL:

Janalyn.Dement@usace.army.mil

601-634-5232

2. REGISTERED IN THE SYSTEM FOR AWARD MANAGMENT (SAM)?

YES_ NO_

NOTE: If you are not registered with SAM (formerly CCR), an award cannot be made to your institution. You may register electronically at https://www.sam.gov/portal/public/SAM/.

Registering electronically will expedite the registration process but may not ensure registration prior to the award of the contract.

3. Please provide the following information:

mailto:Janalyn.Dement@usace.army.mil http://www.sam.gov/portal/public/SAM/ http://www.sam.gov/portal/public/SAM/

Contractor Point of Contact:

Point of Contact Phone Number:

Point of Contact E-mail Address:

Contractor DUNS #:

Contractor Cage Code:

Contractor Tax ID:

This quote is valid through the following date:

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